Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $3,162.28 / $7,762.47	Facility		$416.87	$3,162.28	$7,762.47
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $630.96 / $1,819.70 / $4,897.79	Facility	52	$630.96	$1,819.70	$4,897.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $229.09 / $758.58	Professional		$66.07	$229.09	$758.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $120.23 / $281.84	Professional		$60.26	$120.23	$281.84
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $346.74 / $741.31	Professional		$288.40	$346.74	$741.31
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $1,698.24 / $6,165.95	Facility		$194.98	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $549.54	Professional		$194.98	$194.98	$549.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $1,479.11 / $50,118.72	Facility		$234.42	$1,479.11	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $426.58 / $977.24	Professional		$165.96	$426.58	$977.24
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $194.98 / $467.74	Facility		$144.54	$194.98	$467.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $467.74 / $851.14	Professional		$288.40	$467.74	$851.14
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $724.44 / $1,096.48	Professional		$302.00	$724.44	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $1,819.70 / $3,630.78	Facility		$776.25	$1,819.70	$3,630.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $194.98 / $524.81	Professional		$177.83	$194.98	$524.81
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $50,118.72 / $75,857.76	Facility		$218.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $489.78 / $851.14	Professional		$398.11	$489.78	$851.14
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $3,467.37 / $7,244.36	Facility		$1,584.89	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $338.84 / $1,023.29	Professional		$123.03	$338.84	$1,023.29
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $676.08	Facility		$112.20	$165.96	$676.08
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $616.60 / $1,047.13	Professional		$302.00	$616.60	$1,047.13

New York rates for HCPCS 43239